HomeMy WebLinkAbout0215 Declaration ot Domicile and Citisenship
TO THE STATE AND GOUNTY TAX ASSESSOR, 15~635
Sl. LUCIE GOUNTY, FLORIOA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day i~ soo~rdanos and
in oonformiy with Chapte~ 222, Sattion 222.17, Florida Statutes.
I was formerly a legal resident of BUFFAIA ~ N•~ •
(City) iState)
and 1 msidad at 31? Y Busti Ave. _ ,~~„~evef 1 have chanqed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 31St day of
802 S1 Rancho
_ December ,~qb6 , and ~ res~de ar
(Street and Number)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA
and thia atatement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of T-lorida.
(Insert here any pe~tinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domidle, purchase of home, etc.)
FI~ING FOR HQMESTEAD PURPOSBS
FILEO AND ti~CORpE~' '
ST. LUCIE CpUNTY. t~l.~:?
RECORO VERIFiLD -
15i~35
'6T JAN 6 AM i0 : 39
ROGER POITRAS
~ CL.ERK CIRCUIT COURT
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I FURTHER CERTIFY that 1 wiil comply with all other requirements of a Isgal resident of this State.
1 FURTHER CERTIFY that I have ~o intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~j;,,~~stir?iiiij~~ ' '
: ,~ti1 C ~ ~'~i,~ , ~ JOSBPH ALT IERB
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• U O: ~dfESS~ i
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:y r':. ~`~.%~j`y~~i iubscribed before me this 6th day of Januarq 19 67 . ~
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q~K C COURT Notary Public ;
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--gy D.C. My Gommiss'wn expires L
(To b~ pncvNd n duplicab and ori~insl ffl~d with Cl~~lc Gra~if Courf, and dvplicat~ whh Tax Assa~.)
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